Throughout the nineteenth century the issue of tobacco smoking was an area of constant debate. In 1857 this debate became public through the pages of the British medical journal the Lancet in what is known as the Tobacco Controversy of 1857. The controversy in Great Britain initiated a thorough discussion over the effects of tobacco smoking in America. The debate was vibrant, but at the time it led to no significant results. However, the controversy created public awareness about the possible effects of tobacco smoking and laid an important foundation for future discussion, research, and legislation.